{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,25]],"date-time":"2026-09-25T18:44:40Z","timestamp":1790361880291,"version":"4.1.0"},"reference-count":20,"publisher":"Elsevier BV","issue":"4","license":[{"start":{"date-parts":[[2017,10,1]],"date-time":"2017-10-01T00:00:00Z","timestamp":1506816000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2017,10,1]],"date-time":"2017-10-01T00:00:00Z","timestamp":1506816000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"}],"content-domain":{"domain":["annalsthoracicsurgery.org","clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["The Annals of Thoracic Surgery"],"published-print":{"date-parts":[[2017,10]]},"DOI":"10.1016\/j.athoracsur.2017.06.043","type":"journal-article","created":{"date-parts":[[2017,9,2]],"date-time":"2017-09-02T01:47:03Z","timestamp":1504316823000},"page":"1365-1370","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":22,"title":["Determinants of Adverse Outcomes After Systemic-To-Pulmonary Shunts in Biventricular Circulation"],"prefix":"10.1016","volume":"104","author":[{"given":"Ben","family":"Hobbes","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yves","family":"d\u2019Udekem","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Diana","family":"Zannino","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Igor E.","family":"Konstantinov","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christian","family":"Brizard","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Johann","family":"Brink","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.athoracsur.2017.06.043_bib1","first-page":"385","article-title":"Surgical procedures employed and anatomical variations encountered in the treatment of congenital pulmonic stenosis","volume":"87","author":"Blalock","year":"1948","journal-title":"Surg Gynecol Obstet"},{"key":"10.1016\/j.athoracsur.2017.06.043_bib2","doi-asserted-by":"crossref","first-page":"2070","DOI":"10.1016\/j.athoracsur.2007.06.067","article-title":"Two thousand Blalock-Taussig shunts: a six-decade experience","volume":"84","author":"Williams","year":"2007","journal-title":"Ann Thorac Surg"},{"key":"10.1016\/j.athoracsur.2017.06.043_bib3","doi-asserted-by":"crossref","first-page":"67","DOI":"10.1177\/2150135114558690","article-title":"Disease-specific outcome analysis of palliation with the modified Blalock-Taussig shunt","volume":"6","author":"Bove","year":"2015","journal-title":"World J Pediatr Congenit Heart Surg"},{"key":"10.1016\/j.athoracsur.2017.06.043_bib4","doi-asserted-by":"crossref","first-page":"642","DOI":"10.1016\/j.athoracsur.2011.02.030","article-title":"Risk factors for mortality and morbidity after the neonatal Blalock-Taussig shunt procedure","volume":"92","author":"Petrucci","year":"2011","journal-title":"Ann Thorac Surg"},{"key":"10.1016\/j.athoracsur.2017.06.043_bib5","doi-asserted-by":"crossref","first-page":"672","DOI":"10.1016\/j.jtcvs.2013.09.055","article-title":"Outcomes of systemic to pulmonary artery shunts in patients weighing less than 3 kg: analysis of shunt type, size, and surgical approach","volume":"147","author":"Myers","year":"2014","journal-title":"J\u00a0Thorac Cardiovasc Surg"},{"key":"10.1016\/j.athoracsur.2017.06.043_bib6","doi-asserted-by":"crossref","first-page":"169","DOI":"10.1093\/ejcts\/ezw017","article-title":"Factors affecting death and progression towards next stage following modified Blalock-Taussig shunt in neonatesdagger","volume":"50","author":"Alsoufi","year":"2016","journal-title":"Eur J Cardiothorac Surg"},{"key":"10.1016\/j.athoracsur.2017.06.043_bib7","doi-asserted-by":"crossref","first-page":"1499","DOI":"10.1016\/S0003-4975(00)01078-X","article-title":"Systemic pulmonary shunts in neonates: early clinical outcome and choice of surgical approach","volume":"69","author":"Alkhulaifi","year":"2000","journal-title":"Ann Thorac Surg"},{"key":"10.1016\/j.athoracsur.2017.06.043_bib8","doi-asserted-by":"crossref","first-page":"1096","DOI":"10.1093\/ejcts\/ezt172","article-title":"Modified Blalock Taussig shunt: a not-so-simple palliative procedure","volume":"44","author":"Dirks","year":"2013","journal-title":"Eur J Cardiothorac Surg"},{"key":"10.1016\/j.athoracsur.2017.06.043_bib9","doi-asserted-by":"crossref","first-page":"106","DOI":"10.1016\/j.jtcvs.2010.10.033","article-title":"Early systemic-to-pulmonary artery shunt intervention in neonates with congenital heart disease","volume":"142","author":"O'Connor","year":"2011","journal-title":"J\u00a0Thorac Cardiovasc Surg"},{"key":"10.1016\/j.athoracsur.2017.06.043_bib10","doi-asserted-by":"crossref","first-page":"545","DOI":"10.1016\/j.ejcts.2008.06.001","article-title":"Could we still improve early and interim outcome after prosthetic systemic-pulmonary shunt? A risk factors analysis","volume":"34","author":"Mohammadi","year":"2008","journal-title":"Eur J Cardiothorac Surg"},{"key":"10.1016\/j.athoracsur.2017.06.043_bib11","doi-asserted-by":"crossref","first-page":"152","DOI":"10.1016\/S0003-4975(03)00168-1","article-title":"Interim mortality in infants with systemic-to-pulmonary artery shunts","volume":"76","author":"Fenton","year":"2003","journal-title":"Ann Thorac Surg"},{"key":"10.1016\/j.athoracsur.2017.06.043_bib12","doi-asserted-by":"crossref","first-page":"293","DOI":"10.1161\/CIRCULATIONAHA.106.652172","article-title":"Clinical outcomes of palliative surgery including a systemic-to-pulmonary artery shunt in infants with cyanotic congenital heart disease: does aspirin make a difference?","volume":"116","author":"Li","year":"2007","journal-title":"Circulation"},{"key":"10.1016\/j.athoracsur.2017.06.043_bib13","doi-asserted-by":"crossref","first-page":"1344","DOI":"10.1007\/s00246-015-1163-z","article-title":"Repair of Tetralogy of Fallot in children less than 4 kg body weight","volume":"36","author":"Gerrah","year":"2015","journal-title":"Pediatr Cardiol"},{"key":"10.1016\/j.athoracsur.2017.06.043_bib14","doi-asserted-by":"crossref","first-page":"648","DOI":"10.1093\/ejcts\/ezt124","article-title":"Is there any need for a shunt in the treatment of tetralogy of Fallot with one source of pulmonary blood flow?","volume":"44","author":"Arenz","year":"2013","journal-title":"Eur J Cardiothorac Surg"},{"key":"10.1016\/j.athoracsur.2017.06.043_bib15","doi-asserted-by":"crossref","first-page":"1556","DOI":"10.1016\/S0003-4975(01)02475-4","article-title":"Tetralogy of Fallot: surgical management individualized to the patient","volume":"71","author":"Fraser","year":"2001","journal-title":"Ann Thorac Surg"},{"key":"10.1016\/j.athoracsur.2017.06.043_bib16","doi-asserted-by":"crossref","first-page":"563","DOI":"10.1016\/j.jacc.2013.10.011","article-title":"Low risk of pulmonary valve implantation after a policy of transatrial repair of tetralogy of Fallot delayed beyond the neonatal period: the Melbourne experience over 25 years","volume":"63","author":"d'Udekem","year":"2014","journal-title":"J\u00a0Am Coll Cardiol"},{"key":"10.1016\/j.athoracsur.2017.06.043_bib17","doi-asserted-by":"crossref","first-page":"185","DOI":"10.1016\/j.athoracsur.2011.08.082","article-title":"Pulmonary Atresia, ventricular septal defect, and major aortopulmonary collaterals: neonatal pulmonary artery rehabilitation without unifocalization","volume":"93","author":"Liava'a","year":"2012","journal-title":"Ann Thorac Surg"},{"key":"10.1016\/j.athoracsur.2017.06.043_bib18","doi-asserted-by":"crossref","first-page":"515","DOI":"10.1016\/S0003-4975(97)01126-0","article-title":"Side-to-side aorto-Gore-Tex central shunt","volume":"65","author":"Gates","year":"1998","journal-title":"Ann Thorac Surg"},{"key":"10.1016\/j.athoracsur.2017.06.043_bib19","doi-asserted-by":"crossref","first-page":"1639","DOI":"10.1016\/j.athoracsur.2014.12.082","article-title":"Results of palliation with an initial modified Blalock-Taussig shunt in neonates with single ventricle anomalies associated with restrictive pulmonary blood flow","volume":"99","author":"Alsoufi","year":"2015","journal-title":"Ann Thorac Surg"},{"key":"10.1016\/j.athoracsur.2017.06.043_bib20","doi-asserted-by":"crossref","first-page":"699","DOI":"10.1016\/j.jamcollsurg.2012.12.027","article-title":"The Blalock-Taussig shunt revisited: a contemporary experience","volume":"216","author":"McKenzie","year":"2013","journal-title":"J\u00a0Am Coll Surg"}],"container-title":["The Annals of Thoracic Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0003497517309256?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0003497517309256?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,9,13]],"date-time":"2025-09-13T03:47:10Z","timestamp":1757735230000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0003497517309256"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,10]]},"references-count":20,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2017,10]]}},"alternative-id":["S0003497517309256"],"URL":"https:\/\/doi.org\/10.1016\/j.athoracsur.2017.06.043","relation":{},"ISSN":["0003-4975"],"issn-type":[{"value":"0003-4975","type":"print"}],"subject":[],"published":{"date-parts":[[2017,10]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Determinants of Adverse Outcomes After Systemic-To-Pulmonary Shunts in Biventricular Circulation","name":"articletitle","label":"Article Title"},{"value":"The Annals of Thoracic Surgery","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.athoracsur.2017.06.043","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2017 by The Society of Thoracic Surgeons Published by Elsevier","name":"copyright","label":"Copyright"}]}}